DOC request two, part 1/5 - Cannabis Defense Coalition

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T:aCF Medical Clinics181.3130 th AveN.E.:#210Bellevue, ,VA 98005. Phone: 425-869-6186 or 1-800-723-0188Fax: 425-869-6378WVI'1'\'. the-fouD datJon.org or wWw.hemp.orgDo~umentation of MedicaIAuthorization to PosseSs Marijuana for Medical. Purpos·es in Washington State .The tex1: ofthis fOIm w~s reco~erided'by the. WaShington State.Medica1 Asso~atioD.:.Patient Nam-----,--DateI, Thomas Orvaid~ am a physician Iice~sed in the S~e ofWasbington_ Tam treatingthe above. mi.med patient for a tenTIinal illness or a debilitating condition as defined inRCYV 69.51A.OIO. I have advised. the above named;patient about thepotentiaI risks .. and benefits of the .medical use of marijuana. I have ·assessed the'above namedpatient's medical history an,d medical condition. It is my medical opinion that the .potential benefits of the medical use ofrnarijuana would likely outweigh the heatthrisks for this. patient. .Signature o[Physician:.. ~~"H. c&:s. vd!£,O:-1'--oT~. Orvald, M.D. WA#MD·OOO1'6180 ..'d .f.!!'J"'.T o d ay s ate: ~L: .n. l Explratl0~ ate: __:...-..;...__,--___---,_. B ~,.(\. 2'D"D9-~ .'-'; .' d . ·FEB ·1'·'0· 2010Risks :a~d benefits of medical marijuana:. Urider Washington state law, the use of medical marijuana is now permissible for some.. patients' with terminal or debiiitating illnesses. The laws reguia1j.ng this (Rew 69511\.)allows physician's to' advise p!itients about the.risks and benefits ofth,e medi¥I use of.manJuana.. .The medicaJ and scientific evidence· supportirig ·the use of medical marijuana remainscontroversial in the medical community. Not all health careproviders believe that .m.edical marijuana is safe or effective and some providers feel that it is a dangerous drug. '.According to the W?-shington state law the benefitsof~edic~t marijuana may includetrea.ttng nausea and vomltmg from cnemotnerapy; AIDS wasting syn-orome;-severe,--. --muscle spasms from multiple sclerosis· or other spasticitY disorders; glaucoma; and sometypes oEntractable pain. .Some·· of th~ risks of.medical marijuan~ may include possible long-term effects ~f.thebra.in.in the areas of memory, coordination and cog:qition; impairment of the ability todriVE: or operate heavy machinery; respiratory damage; .pOssible lung caricer; physical orpsycholog.ical dependence.'non ,,' Ij ." r) ( J 1· . -'.
o••••(3) "Qualifying patient" means a person who:(a) Is a patient of a physician licensed under chapte·r 18.71 or 18.57 RCW;(b) Has been diagnosed by that physician as having a terminal or debilitating medical condition;(c) Is a resident of the state of Washington at the time of such diagnosis;(d) Has been advised by that physician a,bout the risks and benefits of the medical use of marijuana; and.(e) Has been advised by that physician that they may benefit from th~ me:dical \lse of marijuana.(4) "Terminal or debilitating medical condition" means:(a) Can~er, human imm\.lnodeficiency virus (HIV)! mUltiple sclerosis, epilepsy or other seizure disorder, orspasticity disorders; ~r· .(b) Intractable pain, limited for the purpose ofthis chapterto mean pain unrelieved by standard medicaltreatments and medications; or .(c) Glaucoma, either acute or chronic,.limited for the purpose of this chapter to mean increased. intraocular pressure unrelieved by standard treatments and medications; or(d),Crohn's disease with debilitat.ing symptoms unrelieve~ by standard treatments or medication~; or(e) Hepatitis C with debilitating nausea or intractable pain unrelieved by standard· treatments ormedications; or .(f) Dis~ases, including anorexia, which result in nausea, vomiting, wasting, appetite loss, cramping,seizures, muscle spasms, or spasticity, when these symptoms are unrelieved by standard treatments ormedications; or .. (g) Any other medical condition duly approved by the Washington state medical quality assurancecommission in consultation with the board of osteopathic medicine and su·rgery as directed in this chapter./I000002.
Page 1 and 2: STATE OF WASHINGTONDEPARTIVIENT OF
Page 3: DUPLICATE \ NON-RESPONSIVE RECORDST
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DOC request two, part 1/5 - Cannabis Defense Coalition

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